8/26/20071 STATE OF WASHINGTON Department of Social and Health Services Infant Toddler Early Intervention Program (ITEIP)Washington’s statewide Part C Program is called the Infant Toddler Early Intervention Program (ITEIP) Our website has our data; please check it out. Our website is at or Google ITEIPhttp://www1.dshs.wa.gov/iteip Online Training Strategies (Approach WA is taking to measure child outcomes)

8/26/20072 Training needs What we have What we plan to do TRAINING NEEDS Who needs to be trained for initial, what we did to get ready for measuring child outcomes and what forms were selected WHAT WE HAVE AND PLAN TO USE Training for outcomes measurement. 1. SICC, ITEIP, Stakeholders, Users (Family Resource Coordinators (SC), providers, ITEIP, Local Lead Agencies and Other State and Local Agencies) 2. Training technical support staff 3. Describe the resources and supports utilized to train. WHAT WE PLAN TO DO NEXT 1. Use what was learned from the initial training efforts to improve training, 2. What changes will we make as a result of the early feedback? 3. Next Steps for continuing to learn and improve the process (e.g. quality assurance) 4. Tools used – Classroom, K-20, Web (Blackboard, PowerPoint), CDs, paper, Online Training Strategies (Approach WA is taking to measure child outcomes) Overview/TOC

8/26/20073 Coordination and direct services. Provide direct service support for families of eligible children with blindness or vision impairments. Support and assist in service delivery options. Coordination of related community activities and transition planning for families with their children. Provide Care Coordination thru Children With Special Health Care Needs SICC Member ITEIP Data Management System DOH (Department of Health) SICC Member County Health Department Local Health District Provide local funding and direct services. OSPI (Office of Superintendent of Public Instruction) SICC Member School Districts ESDs (Educational Service Districts) WorkFirst (TANF) DASA Helps identify Infants with Fetal Alcohol Syndrome (FAS) and other conditions. FAS has been included as an ITEIP category of eligibility. Collaborate on treatment programs. DDD Regions HRSA Many services are provided to infants and their Families. (Major Funder) CA Working to increase referral linkages in the CA for the purpose of implementing IDEA. (Drug and Alcohol) DEL (Department of Early Learning) SICC Member Federal BIA, HS, EHS, (Bureau of Indian Affairs, Head Start & Early Head Start) DSB (Services for the Blind) SICC Member DSHS State Lead Agency SICC Member DDD DDD is the programmatic home for ITEIP: ADSA/ Information Technology MH Coordinates to assure that mental health services are accessible and available to infants and toddlers and their families. (Mental Health) (Children's Admin.) (Temporary Assistance for Needy Families) ODHH Coordinates and develops specialized services for eligible infants and toddlers and their families. (Deaf and Hard of Hearing) Indian Policy and Support Collaborates on efforts to facilitate early intervention services for Tribal infants' toddlers and families. Local Lead Agencies Tribes Nonprofit Others Agencies and SICC ITEIP (Part C) Economic Services Provides economic, employment and training, child support, medical, and other services to help people in need achieve and maintain their highest level of self- sufficiency. Infant Toddler Early Intervention Program (ITEIP) Structure (WA Early Intervention Services) DSHS has the primary responsibility for implementation of IDEA, Part C (ITEIP). ITEIP administers this federally funded program, which serves children age birth to 3 with developmental delays and/or disabilities. The program is the payor of last resort and requires coordination and collaboration with five state agencies, appropriate DSHS divisions and programs, families, local service providers and agencies, interested Tribes, State Interagency Coordinating Council (SICC) members, and County Interagency Coordinating Councils (CICCs). RDA Provides technical assistance in the collection and interpretation of data used to understand program delivery issues and develop service delivery options. (Research and Data Analysis) County Human Services Child Development Svcs. Provide early intervention services including Family Resources Coordinators (FRCs) facilitate identification of eligible infants, assist with eligibility determinations, participate in the development and implementation of the individual Family Service Plans, and coordinate services delivery activities and funding. ADSA Children With Special Health Care Needs (CHSCN) (Logo courtesy of the Department of Social and Health Services Infant Toddler Early Intervention Program funded by the Individuals with Disabilities Education Act.) ITEIP Web site -- (Health & Recovery Services Administration) (Aging & Disability Services Administration (Division of Developmental Disabilities) (Department of Social and Health Services) ITEIP (Provides DDD state-funded services and Supports).

8/26/20074 What we have done to get ready to measure child outcomes WA Infant and Toddler Early Intervention Program (ITEIP) partnered with WESTAT Inc. on their General Supervision Enhancement Grant (GSEG) with TA from SRI and NECTAC. The grant assists the state to develop and implement the Part C outcomes indicators including methods to collect and analyze ITEIP state child outcome measures for infants and toddlers, birth to three, and their families. This Child & Family Outcome Measurement Project has four phases: (1) obtain stakeholder input on the child and family outcomes; (Completed) (2) send the recommendations to a broader group of stakeholders; (Completed) (3) pilot collection of child and family outcome data; and (Completed) (4) a) plan, implement statewide via hard copy COSF (Implemented July 1, 2007) and program and update the ITEIP Data Management System to collect and document the child outcome measures. (In process) We are currently in phase 4 of the project and are on schedule for out data system implementation date of October 1, 2007.

8/26/20075 Phase 1 ITEIP management and the SICC members had to become familiar with OSEP requirements for the measurement of child and family outcomes. State staff had to become very familiar with OSEP requirements for the measurement of child and family outcomes. A stakeholder group had to be selected and trained. –Training provided – SICC and ITEIP staff received TA from Westat, SRI and NECTAC and attended meetings sponsored by OSEP, Westat, SRI and NECTAC addressing child and family outcome measurement requirements. DSHS and ITEIP Kick-off using Webinar (over 400 participants), and Stakeholder workgroup face to face training sessions with TA support from Westat, SRI and NECTAC. Statewide face to face training for all field staff (Local Lead Agency, Service Coordinators and Providers) using support from ITEIP, Westat, SRI and NECTAC and web training courses. Our needs to get ready to measure child outcomes

8/26/20076 Phase 2 Local lead agencies, Service Coordinators and providers were introduced and trained on child and family outcomes measurement requirements and how the state planned to address the requirements. –Training provided – Statewide face to face training for all field staff using support from ITEIP, Westat, SRI and NECTAC and web training courses on the WA COSF and the use of all existing information sources for summaries on the COSF. Training provided at conferences and user group meetings (such as the Infant and Early Childhood Conference and other statewide conferences and meetings) Our needs to get ready to measure child outcomes

8/26/20077 Phase 3 Stakeholder workgroup and ITEIP decided that 5 pilot sites would be selected to use the National Early Childhood Outcome Center (ECO) Childhood Outcomes Center Summary Form (COSF). –Training provided – Face to face training for all pilot site staff using support from ITEIP, Westat, SRI, NECTAC, and ITEIP web training courses. Pilot sites had conference calls with ITEIP, Westat and ECO center staff to discuss issues and successes. Our needs to get ready to measure child outcomes

8/26/20078 Phase 4 On July 1, 2007, Washington started recording child outcome summary information, using a paper COSF for each child entering ITEIP. Parents and families will be involved in child and family outcome measurement and skill summary discussions and collection. –Examples of types of training provided – Statewide face to face training (with break-out sessions) supported by ITEIP, Westat, SRI and NECTAC for all field staff and web training courses (updated frequently). On line training: Service Coordinator training provided via a one day introduction using Blackboard’s Academic Suite followed by 2 day face to face training. All web based training is available to parents and family members and they are coached by service coordinators and ITEIP staff. Our needs to get ready to measure child outcomes

8/26/20079 Phase 4 continued The state’s data management system (ITEIP Data Management System) will be updated to collect, record, and generate aggregate reports for child outcome data. Until the system is reprogrammed and ready, electronic or paper summary forms will be required. We will have a three month ”Use and Tune” part of the data management system where we will modify the system as needed by ITEIP and user input. –Training provided – statewide face to face training (with break-out sessions); and web training courses (PowerPoint) which is also maintained on the ITEIP website. Hands on data system training provided at conferences and user group meetings (such as the Infant and Early Childhood Conference and other statewide conferences and meetings) Continual on call ITEIP telephone and support for questions from the field. Our needs to get ready to measure child outcomes

8/26/ Next Steps for continuing to learn and improve the process Describe the resources and supports utilized to train. 1. Face to face – classroom or seminar type training offered through a person at the site or training provided through the K-20. This is done on a scheduled, ad-hoc, or as part of a meeting or conference basis. 2.The K-20 Education Network – Washington State’s priority to make world-class education equally accessible and affordable to all. Launched in 1996 with funds from the Washington State Legislature, our technology pipeline provides a single, cost-effective solution to meeting the diverse video and data needs of the state’s entire educational community, in communities large and small, urban and rural, across the state. There are 496 direct K-20 connection sites in the state of Washington. 3.Training documents - (See following slide with forms and training tools for complete list)

8/26/ Describe the resources and supports utilized to train –continued The following forms and training tools were developed and customized by and for Washington State: What we have done to get ready to measure child outcomes

8/26/ Next Steps for continuing to learn and improve the process Describe the resources and supports utilized to train -continued 4.Web based training is provided on the ITEIP Web site available to all and is currently on PowerPoint. Currently there are courses for how to use the ITEIP Data Management System and how to enter the COSF into the ITEIP Data Management System. We are also using the product Academic Suite by Blackboard for Service Coordinator training. 5.There are training CDs available on all aspects of using both the online and offline ITEIP Data Management System. 6.Web conferencing – A Webinar is a seminar which is conducted over the Web. In contrast to a Webcast, which is transmission of information in one direction only, a webinar is designed to be interactive between the presenter and audience,. A webinar is ‘live’ in the sense that information is conveyed according to an agenda, with a starting and ending time. 7.We use of slides, handouts, presentations, and agendas; followed by phone conferencing a lot in WA for training and committee workgroup topics.

8/26/ Next Steps for continuing to learn and improve the process WE PLAN TO DO NEXT 1.The initial training methodologies confirmed that we needed a multi- faceted training approach and that we need to explore more ways to provide training across the state. 2.Continuing gathering feedback from Local Lead Agencies, users and providers and applying what is learned from their input. 3.Continue updating the ITEIP Data Management System with help and built in training, making it easier to use. 4.Continue to learn and improve all processes (e.g. quality assurance). 5.Learn more about training technologies and incorporate new methods into state TA activities. 6.Improve methodologies used for training to include – Face to Face, workshops, to include regional and federal Technical Assistance (TA) and improve dissemination of training courses, improve coaching and improve quality of training provided. 7.Improve tools used – K-20 education network, other training distribution networks, more use of Webinar, more Web based training using Blackboard, PowerPoint and other products, move CD training to DVDs, and look at what other states are doing and collaborate where possible.